D&C Procedure for Thickened Endometrium and Polyps - Obstetrics and Gynecology

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The D&C (Dilation and Curettage) procedure is a common surgical intervention used to diagnose and treat various conditions related to the uterus, particularly in cases of thickened endometrium and polyps. In your situation, where your doctor has recommended this procedure due to a thickened endometrium and the presence of a small polyp, it is essential to understand both the procedure and the implications of your current health status, especially considering your age and existing medical conditions.


Understanding D&C Procedure
D&C involves two main steps: dilation of the cervix and curettage, which is the scraping of the uterine lining. This procedure is typically performed under anesthesia and can be done in an outpatient setting. The primary purposes of a D&C include:
1. Diagnostic: To obtain tissue samples for histological examination to rule out conditions such as endometrial hyperplasia or cancer.

2. Therapeutic: To remove abnormal tissue, such as polyps or retained products of conception, which can cause symptoms like heavy bleeding or prolonged menstrual cycles.

Given that you are 51 years old and have not yet completely reached menopause, the recommendation for a D&C is particularly relevant. The thickening of the endometrium can be a normal part of the transition to menopause, but it can also indicate underlying issues that need to be addressed. The presence of a polyp further necessitates investigation, as polyps can sometimes be precursors to more serious conditions.


Preoperative Considerations
Regarding your question about stopping aspirin before the procedure, it is crucial to discuss this with your healthcare provider. Aspirin is an antiplatelet medication that can increase the risk of bleeding during and after surgical procedures. Generally, the recommendation is to stop aspirin at least 5 to 7 days before surgery to minimize bleeding risks. However, this can vary based on individual health factors, the type of surgery, and the specific protocols of the surgical team.

Since you also have high blood pressure and are on antihypertensive medications, it is essential to manage your blood pressure effectively before and after the procedure. High blood pressure can complicate surgical procedures and recovery, so your healthcare provider may want to monitor your blood pressure closely around the time of the D&C.


Postoperative Care
After the D&C, you may experience some cramping and light bleeding, which is normal. However, you should be aware of signs that may indicate complications, such as heavy bleeding, severe pain, or fever. Follow-up appointments are typically scheduled to discuss the results of the tissue analysis and to monitor your recovery.


Conclusion
In summary, the D&C procedure is a valuable tool for diagnosing and treating uterine conditions, especially in women approaching menopause. It is essential to communicate openly with your healthcare provider about your medications, particularly aspirin, and to follow their guidance on when to stop taking it. Your overall health, including your blood pressure management, will play a significant role in the success of the procedure and your recovery. Always feel free to ask your doctor any questions or express any concerns you may have regarding the procedure or your health. Wishing you a smooth procedure and a speedy recovery!